Induction Sealing Machinery

Please tell us about your machinery requirements. (* = required information)

1.	*Company Name
2.	*Street
3.	*City/Town
4.	*State/Province
5.	*Country
6.	*Zip Code
7.	*Please tell us your name
8.	Email Address
9.	*Telephone
10.	*How did you hear about us?
	Internet Search Word of Mouth Paper / Magazine Ad Email From Associate Trade Show Other
11.	Are you using a foil seal?
	Yes No
12.	Speed requiremnt (bottles per minute):
13.	What is your cap size?
14.	What type of cap are you using?
15.	What are your cooling requirements?
	Air cooled Water cooled
16.	Is foil detection required?
	Yes No
17.	What type of conveyor integration is needed?
18.	What speed conveyor do you need?
19.	Additional comments: